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1497590103
CONSUELO TOMAS
JACKSONVILLE, FL
NPI
1497590103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11033619)
Enumeration Date
2024-06-26
Last Update Date
2024-12-14
Business Address
CONSUELO TOMAS
4190 BELFORT RD STE 140
JACKSONVILLE, FL 32216-5871
Phone number: 904-296-2999
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Mailing Address
CONSUELO TOMAS
13453 N MAIN ST STE 104
JACKSONVILLE, FL 32218-2773
Phone number:
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